GWEN PEDERSEN LLC
NPI 1750090858
Marriage & Family Therapist in Saint Cloud, MN

Q: What is Gwen Pedersen LLC's NPI number?

The NPI number for Gwen Pedersen LLC is 1750090858. It was assigned to this organization in the NPPES registry on November 16, 2022.

Q: What is Gwen Pedersen LLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Gwen Pedersen LLC was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 16, 2022

600 25TH AVE S STE 109, SAINT CLOUD, MN 56301(320) 260-8313(320) 654-0318 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Gwen Pedersen Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWEN PEDERSEN LLC (NPI 1750090858) is a healthcare organization registered as a marriage & family therapist in Saint Cloud, Minnesota and active in the NPI registry since November 2022. The organization lists Gwen Pedersen, Marriage & Family Therapist, as its authorized official.

NPPES Registry Identity

NPI1750090858

Entity TypeOrganization

Primary Taxonomy106H00000X

Legal Business NameGWEN PEDERSEN LLC

Location Address600 25TH AVE S STE 109Saint Cloud, MN 56301-4820

Mailing Address600 25th Ave S Ste 109Saint Cloud, MN 56301-4820 · (320) 260-8313

Phone(320) 260-8313

Fax(320) 654-0318

Organization SubpartNo

Authorized OfficialGwen PedersenMarriage & Family Therapist · (320) 255-0343

Enumeration DateNovember 16, 2022

Last NPPES UpdateFebruary 20, 2024

NPPES CertifiedFebruary 20, 2024

✔ NPI 1750090858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

600 25TH AVE S STE 109, Saint Cloud, MN 56301

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gwen Pedersen Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gwen Pedersen LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gwen Pedersen, M.S.

Marriage and Family Therapist

NPI 1902905516

600 25TH AVE S STE 109
Saint Cloud, MN 56301

(320) 255-0343

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwen Pedersen LLC's NPI number?

The NPI number for Gwen Pedersen LLC is 1750090858. It was assigned to this organization in the NPPES registry on November 16, 2022.

Where is Gwen Pedersen LLC located?

Gwen Pedersen LLC is located at 600 25th Ave S Ste 109, Saint Cloud, MN 56301. The listed phone number is (320) 260-8313.

What is Gwen Pedersen LLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Gwen Pedersen LLC enrolled in Medicare?

Yes. Gwen Pedersen LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gwen Pedersen LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Gwen Pedersen LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Gwen Pedersen LLC accept?

Health plans from HealthPartners list Gwen Pedersen LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gwen Pedersen LLC was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.